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NPI 1518413731
● Active Type 2 · Organization
Pinecrest Senior Care, Llc
Skilled Nursing Facility · Tyler, TX · NPI 1518413731
·
Enumerated 2016 · 9 years on NPI
Pinecrest Senior Care, Llc is 1 of 3272 skilled nursing facility organizations in Texas.
NPI age
9 years
Enumerated 2016-08-28
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bumpass
Member
Last NPPES update
2016-08-28
Source: monthly bulk 2026-05
How this organization compares
Across 3272 active skilled nursing facility providers in Texas.
NPI age
9 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2016 → 2026
2016-08 Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
3505 Old Jacksonville Rd
Tyler, TX 75701
📞 2547415929 fax 2547415928
Mailing address
Po Box 23648
Waco, TX 76702
📞 2547415929 fax 2547415928
Authorized official
Michael Bumpass
Member
📞 2547415929
Individual providers at this organization
16 individual providers on file at this primary practice address.
Deslyn Carroll , COTA
Occupational Therapy Assistant
NPI 1407043672
David Cook , LOTA
Occupational Therapy Assistant
NPI 1730377235
Jenna Epperson , PTA
Physical Therapy Assistant
NPI 1417149451
Lisa Fletcher
Occupational Therapy Assistant
NPI 1952794794
Anita Foy , COTA
Occupational Therapy Assistant
NPI 1669664546
Deneicia Gasaway , COTA
Occupational Therapy Assistant
NPI 1033414008
Syed Hasan , MS-CCC-SLP
Speech-Language Pathologist
NPI 1720380884
Jose Ibarra , OTR
Occupational Therapist
NPI 1073700753
Karen Johnson , M.A., CCC-SLP
Speech-Language Pathologist
NPI 1598938854
Becky Jones , COTA
Community Health Worker
NPI 1578707121
Mechelle Jones , MS
Speech-Language Pathologist
NPI 1578755500
Richa Kohli
Physical Therapist
NPI 1770064669
Dennis Kress , PTA
Physical Therapy Assistant
NPI 1982896965
Beasley Terry , COTA
Occupational Therapy Assistant
NPI 1255515656
Raymond Toro , PTA
Physical Therapy Assistant
NPI 1720251069
Jessica Vass , PTA
Physical Therapy Assistant
NPI 1013169465
Specialties
Skilled Nursing Facility
Primary
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
taxonomy 314000000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
16 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.